ACHC Accreditation Standards
Date of Last Revision: May 31, 2018
- Standard DRX1-1A: The organization is an established entity with legal
authority to operate and has the appropriate licensure, Articles of Incorporation, or other
documentation of legal authority.
- Standard DRX1-2A: The organization is directed by a governing body/owner (if
no governing body is present, owner suffices), that assumes full legal authority and responsibility
for the operation of the organization. The governing body/owner duties and accountabilities are
clearly defined.
- Standard DRX1-3A: Written policies and procedures are established and
implemented by the organization in regard to conflicts of interest and the procedure for disclosure.
- Standard DRX1-4A: There is an individual who is designated as responsible for
the overall operation and services of the organization. The manager/leader organizes and directs the
organization’s ongoing functions; maintains ongoing liaison among the governing body/owner and
personnel; employs qualified personnel and ensures adequate personnel education and evaluations;
ensures the accuracy of public information materials and activities; and implements an effective
budgeting and accounting system.
- Standard DRX1-5A: Responsibility and accountability for programs are defined.
The organizational chart shows the relationship of all positions within the organization with
identifiable lines of authority.
- Standard DRX1-7A: The organization is in compliance with all applicable
federal, state, and local laws and regulations.
- Standard DRX1-7B: Home medical equipment and supply services are provided in
accordance with legal and regulatory guidelines as dictated by local, state, federal laws and
regulations.
- Standard DRX1-10A: The organization informs the accrediting body and other
state/federal regulatory agencies, as appropriate, of negative outcomes from sanctions, regulatory
inspections and/or audits.
- Standard DRX1-11A: The organization is in compliance with disclosure of
ownership and management information.
- Standard DRX2-1A: Written policies and procedures are established and
implemented in regard to the organization’s descriptions of care/services and how the information is
distributed to personnel, clients/patients, and the community.
- Standard DRX2-2A: Written policies and procedures are established and
implemented by the organization in regard to the creation and distribution of the Client/Patient
Rights and Responsibilities statement. (Standard DRX2-2A is in regard to the creation and
distribution of the statement of the Client/Patient Rights and Responsibilities and the ACHC
standard reference next to the client/patient right is the standard that demonstrates the
implementation of the client/patient right.)
- Standard DRX2-2B: The organization protects and promotes exercising of the
client’s/patient’s rights.
- Standard DRX2-2C: Durable Medical Equipment, Prosthetics, Orthotics, and
Supplies (DMEPOS) Supplier Standards are distributed to each Medicare recipient of care/service
provided.
- Standard DRX2-3A: Written policies and procedures are established and
implemented by the organization for reporting and investigating all alleged violations involving
mistreatment, neglect, or verbal, sexual, and physical abuse, including injuries of unknown source
and misappropriation of client/patient property by anyone furnishing services on behalf of the
organization.
- Standard DRX2-4A: Written policies and procedures are established and
implemented requiring that at the initiation of care the organization informs the client/patient on
how to report grievances/complaints and how they are investigated and resolved.
- Standard DRX2-4B: Within five (5) calendar days of receiving a beneficiary’s
complaint, a Medicare supplier shall notify the beneficiary using either oral, telephone, e-mail,
fax, or letter format, that it has received the complaint and that it is investigating. Within 14
days, the supplier shall provide written notification to the beneficiary of the results of its
investigation and response. The supplier shall maintain documentation of all complaints that it
receives, copies of the investigations, and responses to beneficiaries.
- Standard DRX2-4C: The organization provides the client/patient with written
information concerning how to contact the organization, appropriate state agencies, and ACHC
concerning grievances/complaints at the time of admission.
- Standard DRX2-5A: Written policies and procedures are established and
implemented by the organization in regard to securing and releasing confidential and Protected
Health Information (PHI) and Electronic Protected Health Information (EPHI).
- Standard DRX2-5C: The organization has Business Associate Agreements (BAAs)
for all business associates that may have access to Protected Health Information (PHI) as required
by Health Insurance Portability and Accountability Act (HIPAA) and other applicable law and
regulations.
- Standard DRX2-7A: Written policies and procedures are established and
implemented by the organization in regard to identification, evaluation, and discussion of ethical
issues.
- Standard DRX2-8A: Written policies and procedures are established and
implemented by the organization in regard to the provision of care/service to clients/patients with
communication or language barriers.
- Standard DRX2-8B: Written policies and procedures are established and
implemented for the provision of care/service to clients/patients from various cultural backgrounds,
beliefs, and religions.
- Standard DRX2-9A: Written policies and procedures are established and
implemented by the organization in regard to a Compliance Program aimed at preventing fraud and
abuse.
- Standard DRX2-10A: Home Medical Equipment (HME) services are available 24
hours 7 days a week for organizations that provide respiratory equipment, such as oxygen,
ventilators, and Continuous Positive Airway Pressure (CPAP) and Respiratory Assist Devices (RAD).
- Standard DRX2-10C: There is an availability of appropriate personnel during
posted hours of operation. There is an answering system to receive calls after hours.
- Standard DRX3-1A: The organization’s annual budget is developed in
collaboration with management and personnel and under the direction of the governing body/owner.
- Standard DRX3-4A: The organization develops care/service rates and has
method(s) for conveying charges to the client/patient, the public, and referral sources.
- Standard DRX3-4B: The client/patient is advised orally and in writing of the
charges for care/service at, or prior to the receipt of care/services. The client/patient also has
the right to be informed of changes in payment information as soon as possible but no later than 30
days after the agency becomes aware of the change. Clients/patients who are eligible for Medicare or
Medicaid are informed when Medicare/Medicaid assignment is or is not accepted.
- Standard DRX3-5A: Financial hardship forms are completed if the client/patient
is unable to pay.
- Standard DRX3-6A: The organization ensures proper billing procedures; this
would include any prescription, documentation, or other requirements specified by the payor.
- Standard DRX4-1A: Written policies and procedures are established and
implemented that describe the procedures to be used in the management of personnel files and
confidential personnel records.
- Standard DRX4-2B: Personnel are qualified for the positions they hold by
meeting the education, training, and experience requirements defined by the organization. Personnel
credentialing activities are conducted at the time of hire and upon renewal to verify qualifications
of all personnel.
- Standard DRX4-2C: Written policies and procedures are established and
implemented in regard to all direct care personnel having an initial Tuberculosis (TB) testing and
the organization’s need to conduct an annual TB risk assessment.
- Standard DRX4-2D: Written policies and procedures are established and
implemented that describe the process for all direct care personnel to have access to the Hepatitis
B vaccine as each job classification indicates and as described in federal Centers for Disease
Control and Prevention (CDC) and Occupational Safety and Health Administration (OSHA) standards.
- Standard DRX4-2E: There is a job description for each position within the
organization that is consistent with the organizational chart with respect to function and reporting
responsibilities
- Standard DRX4-2F: Organizations that use motor vehicles that require a special
class of driver’s license, such as a Commercial Driver’s License (CDL) verify through a Motor
Vehicle Records (MVRs) check that the employee has a valid license at time of hire and annually.
- Standard DRX4-2H: Written policies and procedures are established and
implemented in regard to background checks being completed on personnel who have direct
client/patient care and/or access to client/patient records. Background checks include: Office of
Inspector General (OIG) exclusion list, criminal background record, and national sex offender
registry.
- Standard DRX4-2I: Written personnel policies and procedures and/or an employee
handbook are established and implemented describing the activities related to personnel management.
- Standard DRX4-2J: Written policies and procedures are established and
implemented in regard to written annual performance evaluations being completed for all personnel
based on specific job descriptions. The results of annual performance evaluations are shared with
personnel.
- Standard DRX4-5C: There is a qualified person responsible for supervision of
Home Medical Equipment (HME) and Fitter services.
- Standard DRX4-6A: Written policies and procedures are established and
implemented that describe the orientation process. Documentation reflects that all personnel have
received an orientation.
- Standard DRX4-7A: Written policies and procedures are established and
implemented requiring the organization to design a competency assessment program on the care/service
provided for all personnel who set up, train and/or educate the use of medications, equipment,
and/or supplies.
- Standard DRX4-8A: A written education plan is developed and implemented that
defines the content, frequency of evaluations, and amount of on-going in-service training for each
classification of personnel.
- Standard DRX4-11C: An organization that uses outside personnel to provide
care/services on behalf of the organization has a written contract/agreement for care/services which
is kept on file within the organization.
- Standard DRX5-1A: Written policies and procedures are established and
implemented relating to the required content of the client/patient record. An accurate record is
maintained for each client/patient.
- Standard DRX5-1C: Written policies and procedures are established and
implemented that address access, storage, removal, retention and destruction of client/patient
records and information.
- Standard DRX5-1D: Client/patient records contain documentation of all
care/services provided. All entries are legible, clear, complete, and appropriately authenticated
and dated in accordance with accepted standards of practice.
- Standard DRX5-3A: Written policies and procedures are established that
describe the process for evaluation/assessment and the plan of service.
- Standard DRX5-3D: All clients/patients referred for Home Medical Equipment
(HME) services have an evaluation/assessment and plan of service completed.
- Standard DRX5-4A: The organization shows evidence of the client/patient
participation in the plan of care/service.
- Standard DRX5-4D: There is evidence of changes to the plan of service for Home
Medical Equipment (HME) and Complex Rehabilitation and Assistive Technology Supplier (RTS) services
based on reassessment of client/patient needs.
- Standard DRX5-5B: Written policies and procedures are established and
implemented that describe the process for client/ patient education.
- Standard DRX5-5E: Client/patient and/or caregiver education focus on goal and
outcome achievement as established in the plan of care.
- Standard DRX5-8A: The organization does not supply ongoing services or
products that are not specifically requested by a client/patient or the physician/practitioner that
has responsibility for the client/patient care.
- Standard DRX5-11A: Clients/patients are informed of expected time frames for
delivery of equipment/supplies.
- Standard DRX5-12A: Written policies and procedures are established and
implemented for addressing client/patient needs that cannot be met by the organization.
Clients/patients are referred to other agencies when appropriate. The prescribing physician and/or
referral source is notified within five days if the equipment or services ordered cannot be
provided.
- Standard DRX5-15D: Written policies and procedures are established and
implemented that describe the process for transfer or discharge of a client/patient receiving
services.
- Standard DRX6-1A: The organization develops, implements, and maintains an
effective, ongoing, organization-wide Performance Improvement (PI) program. The organization
measures, analyzes, and tracks quality indicators that enable the organization to assess processes
of care, services and operations. Organization-wide Performance Improvement (PI) efforts address
priorities for improved quality of care/service, client/patient safety, and that all improvement
actions are evaluated for effectiveness.
- Standard DRX6-1B: The organization ensures the implementation of an
organization-wide Performance Improvement (PI) plan by the designation of a person responsible for
coordinating PI activities.
- Standard DRX6-1C: There is evidence of personnel involvement in the
Performance Improvement (PI) process.
- Standard DRX6-1D: There is an annual Performance Improvement (PI) report
written.
- Standard DRX6-2A: Each performance improvement (PI) activity or study contains the
required items.
- Standard DRX6-3C: Performance Improvement (PI) activities include satisfaction
surveys.
- Standard DRX6-3D: Performance Improvement (PI) activities include a review of
the client/patient records.
- Standard DRX6-3E: Performance Improvement (PI) activities include the ongoing
monitoring of client/patient grievances/ complaints.
- Standard DRX6-3F: Written policies and procedures are established and
implemented by the organization to identify, monitor, report, investigate, and document all adverse
events, incidents, accidents, variances, or unusual occurrences that involve client/patient
care/service.
- Standard DRX6-3G: Performance Improvement (PI) activities include ongoing
monitoring of billing and coding errors.
- Standard DRX6-3I: The organization monitors all care/service provided under
contract/agreement to ensure that care/services are delivered in accordance with the terms of the
contract/agreement.
- Standard DRX6-6A: There is evidence of involvement of the governing body/owner.
- Standard DRX7-1A: Written policies and procedures are established and
implemented that address the surveillance, identification, prevention, control, and investigation of
infectious and communicable diseases and the compliance with regulatory standards.
- Standard DRX7-2A: Written policies and procedures are established and
implemented that address the education of personnel concerning safety.
- Standard DRX7-2B: Written policies and procedures are established and
implemented that address client/patient safety in the home.
- Standard DRX7-4A: Written policies and procedures are established and
implemented that outline the process for meeting client/patient needs in a disaster or crisis
situation.
- Standard DRX7-4C: The organization provides education to
client/patient/caregiver regarding emergency preparedness.
- Standard DRX7-5B: Written policies and procedures are established and
implemented that address the organization’s fire safety and emergency power systems.
- Standard DRX7-6A: Written policies and procedures are established and
implemented for the acceptance, transportation, pickup, and/or disposal of hazardous chemicals
and/or contaminated materials used in the provision of client/patient care/ service.
- Standard DRX7-6B: Written policies and procedures are established and
implemented for following Occupational Safety and Health Administration’s (OSHA’s) Hazard
Communication Standard that describes appropriate labeling of hazardous chemicals and/or materials,
instructions for use, and storage and disposal requirements.
- Standard DRX7-10B: Nutritional products are stored in accordance with the
manufacturer’s guidelines.
- Standard DRX7-11A: Written policies and procedures are established and
implemented for identifying, monitoring, reporting, investigating, and documenting all incidents,
accidents, variances, or unusual occurrences involving personnel.
- Standard DRX7-12C: Written policies and procedures are established for the
provision of products and equipment for Clinical Respiratory Care Services (CRCS), Home Medical
Equipment (HME) and Complex Rehabilitation and Assistive Technology (RTS) services.
- Standard DRX7-12D: Personnel implement the organization’s policies and
procedures for the cleaning, storage, safe transportation, delivery, and setup of equipment used in
the provision of care/service. Implementation includes a home environmental and electrical safety
assessment.
- Standard DRX7-12E: Personnel implement the organization’s policies and
procedures relating to back-up equipment for use during power failures in the client/patient home.
- Standard DRX7-13A: Written policies and procedures are established and
implemented for organizations that trans fill oxygen
- Standard DRX7-16A: A written warranty is provided on all applicable products.
The organization is an established entity with legal authority to operate and has the appropriate
licensure, Articles of Incorporation, or other documentation of legal authority.
- Standard DRX1-2A: The organization is directed by a governing body/owner (if
no governing body is present, owner suffices), that assumes full legal authority and responsibility
for the operation of the organization. The governing body/owner duties and accountabilities are
clearly defined.
- Standard DRX1-3A: Written policies and procedures are established and
implemented by the organization in regard to conflicts of interest and the procedure for disclosure.
- Standard DRX1-4A: There is an individual who is designated as responsible for
the overall operation and services of the organization. The manager/leader organizes and directs the
organization’s ongoing functions; maintains ongoing liaison among the governing body/owner and
personnel; employs qualified personnel and ensures adequate personnel education and evaluations;
ensures the accuracy of public information materials and activities; and implements an effective
budgeting and accounting system.
- Standard DRX1-5A: Responsibility and accountability for programs are defined.
The organizational chart shows the relationship of all positions within the organization with
identifiable lines of authority.
- Standard DRX1-7A: The organization is in compliance with all applicable
federal, state, and local laws and regulations.
- Standard DRX1-7B: Home medical equipment and supply services are provided in
accordance with legal and regulatory guidelines as dictated by local, state, federal laws and
regulations.
- Standard DRX1-10A: The organization informs the accrediting body and other
state/federal regulatory agencies, as appropriate, of negative outcomes from sanctions, regulatory
inspections and/or audits.
- Standard DRX1-11A: The organization is in compliance with disclosure of
ownership and management information.
- Standard DRX2-1A: Written policies and procedures are established and
implemented in regard to the organization’s descriptions of care/services and how the information is
distributed to personnel, clients/patients, and the community.
- Standard DRX2-2A: Written policies and procedures are established and
implemented by the organization in regard to the creation and distribution of the Client/Patient
Rights and Responsibilities statement. (Standard DRX2-2A is in regard to the creation and
distribution of the statement of the Client/Patient Rights and Responsibilities and the ACHC
standard reference next to the client/patient right is the standard that demonstrates the
implementation of the client/patient right.)
- Standard DRX2-2B: The organization protects and promotes exercising of the
client’s/patient’s rights.
- Standard DRX2-2C: Durable Medical Equipment, Prosthetics, Orthotics, and
Supplies (DMEPOS) Supplier Standards are distributed to each Medicare recipient of care/service
provided.
- Standard DRX2-3A: Written policies and procedures are established and
implemented by the organization for reporting and investigating all alleged violations involving
mistreatment, neglect, or verbal, sexual, and physical abuse, including injuries of unknown source
and misappropriation of client/patient property by anyone furnishing services on behalf of the
organization.
- Standard DRX2-4A: Written policies and procedures are established and
implemented requiring that at the initiation of care the organization informs the client/patient on
how to report grievances/complaints and how they are investigated and resolved.
- Standard DRX2-4B: Within five (5) calendar days of receiving a beneficiary’s
complaint, a Medicare supplier shall notify the beneficiary using either oral, telephone, e-mail,
fax, or letter format, that it has received the complaint and that it is investigating. Within 14
days, the supplier shall provide written notification to the beneficiary of the results of its
investigation and response. The supplier shall maintain documentation of all complaints that it
receives, copies of the investigations, and responses to beneficiaries.
- Standard DRX2-4C: The organization provides the client/patient with written
information concerning how to contact the organization, appropriate state agencies, and ACHC
concerning grievances/complaints at the time of admission.
- Standard DRX2-5A: Written policies and procedures are established and
implemented by the organization in regard to securing and releasing confidential and Protected
Health Information (PHI) and Electronic Protected Health Information (EPHI).
- Standard DRX2-5C: The organization has Business Associate Agreements (BAAs)
for all business associates that may have access to Protected Health Information (PHI) as required
by Health Insurance Portability and Accountability Act (HIPAA) and other applicable law and
regulations.
- Standard DRX2-7A: Written policies and procedures are established and
implemented by the organization in regard to identification, evaluation, and discussion of ethical
issues.
- Standard DRX2-8A: Written policies and procedures are established and
implemented by the organization in regard to the provision of care/service to clients/patients with
communication or language barriers.
- Standard DRX2-8B: Written policies and procedures are established and
implemented for the provision of care/service to clients/patients from various cultural backgrounds,
beliefs, and religions.
- Standard DRX2-9A: Written policies and procedures are established and
implemented by the organization in regard to a Compliance Program aimed at preventing fraud and
abuse.
- Standard DRX2-10A: Home Medical Equipment (HME) services are available 24
hours 7 days a week for organizations that provide respiratory equipment, such as oxygen,
ventilators, and Continuous Positive Airway Pressure (CPAP) and Respiratory Assist Devices (RAD).
- Standard DRX2-10C: There is an availability of appropriate personnel during
posted hours of operation. There is an answering system to receive calls after hours.
- Standard DRX3-1A: The organization’s annual budget is developed in
collaboration with management and personnel and under the direction of the governing body/owner.
- Standard DRX3-4A: The organization develops care/service rates and has
method(s) for conveying charges to the client/patient, the public, and referral sources.
- Standard DRX3-4B: The client/patient is advised orally and in writing of the
charges for care/service at, or prior to the receipt of care/services. The client/patient also has
the right to be informed of changes in payment information as soon as possible but no later than 30
days after the agency becomes aware of the change. Clients/patients who are eligible for Medicare or
Medicaid are informed when Medicare/Medicaid assignment is or is not accepted.
- Standard DRX3-5A: Financial hardship forms are completed if the client/patient
is unable to pay.
- Standard DRX3-6A: The organization ensures proper billing procedures; this
would include any prescription, documentation, or other requirements specified by the payor.
- Standard DRX4-1A: Written policies and procedures are established and
implemented that describe the procedures to be used in the management of personnel files and
confidential personnel records.
- Standard DRX4-2B: Personnel are qualified for the positions they hold by
meeting the education, training, and experience requirements defined by the organization. Personnel
credentialing activities are conducted at the time of hire and upon renewal to verify qualifications
of all personnel.
- Standard DRX4-2C: Written policies and procedures are established and
implemented in regard to all direct care personnel having an initial Tuberculosis (TB) testing and
the organization’s need to conduct an annual TB risk assessment.
- Standard DRX4-2D: Written policies and procedures are established and
implemented that describe the process for all direct care personnel to have access to the Hepatitis
B vaccine as each job classification indicates and as described in federal Centers for Disease
Control and Prevention (CDC) and Occupational Safety and Health Administration (OSHA) standards.
- Standard DRX4-2E: There is a job description for each position within the
organization that is consistent with the organizational chart with respect to function and reporting
responsibilities
- Standard DRX4-2F: Organizations that use motor vehicles that require a special
class of driver’s license, such as a Commercial Driver’s License (CDL) verify through a Motor
Vehicle Records (MVRs) check that the employee has a valid license at time of hire and annually.
- Standard DRX4-2H: Written policies and procedures are established and
implemented in regard to background checks being completed on personnel who have direct
client/patient care and/or access to client/patient records. Background checks include: Office of
Inspector General (OIG) exclusion list, criminal background record, and national sex offender
registry.
- Standard DRX4-2I: Written personnel policies and procedures and/or an employee
handbook are established and implemented describing the activities related to personnel management.
- Standard DRX4-2J: Written policies and procedures are established and
implemented in regard to written annual performance evaluations being completed for all personnel
based on specific job descriptions. The results of annual performance evaluations are shared with
personnel.
- Standard DRX4-5C: There is a qualified person responsible for supervision of
Home Medical Equipment (HME) and Fitter services.
- Standard DRX4-6A: Written policies and procedures are established and
implemented that describe the orientation process. Documentation reflects that all personnel have
received an orientation.
- Standard DRX4-7A: Written policies and procedures are established and
implemented requiring the organization to design a competency assessment program on the care/service
provided for all personnel who set up, train and/or educate the use of medications, equipment,
and/or supplies.
- Standard DRX4-8A: A written education plan is developed and implemented that
defines the content, frequency of evaluations, and amount of on-going in-service training for each
classification of personnel.
- Standard DRX4-11C: An organization that uses outside personnel to provide
care/services on behalf of the organization has a written contract/agreement for care/services which
is kept on file within the organization.
- Standard DRX5-1A: Written policies and procedures are established and
implemented relating to the required content of the client/patient record. An accurate record is
maintained for each client/patient.
- Standard DRX5-1C: Written policies and procedures are established and
implemented that address access, storage, removal, retention and destruction of client/patient
records and information.
- Standard DRX5-1D: Client/patient records contain documentation of all
care/services provided. All entries are legible, clear, complete, and appropriately authenticated
and dated in accordance with accepted standards of practice.
- Standard DRX5-3A: Written policies and procedures are established that
describe the process for evaluation/assessment and the plan of service.
- Standard DRX5-3D: All clients/patients referred for Home Medical Equipment
(HME) services have an evaluation/assessment and plan of service completed.
- Standard DRX5-4A: The organization shows evidence of the client/patient
participation in the plan of care/service.
- Standard DRX5-4D: There is evidence of changes to the plan of service for Home
Medical Equipment (HME) and Complex Rehabilitation and Assistive Technology Supplier (RTS) services
based on reassessment of client/patient needs.
- Standard DRX5-5B: Written policies and procedures are established and
implemented that describe the process for client/ patient education.
- Standard DRX5-5E: Client/patient and/or caregiver education focus on goal and
outcome achievement as established in the plan of care.
- Standard DRX5-8A: The organization does not supply ongoing services or
products that are not specifically requested by a client/patient or the physician/practitioner that
has responsibility for the client/patient care.
- Standard DRX5-11A: Clients/patients are informed of expected time frames for
delivery of equipment/supplies.
- Standard DRX5-12A: Written policies and procedures are established and
implemented for addressing client/patient needs that cannot be met by the organization.
Clients/patients are referred to other agencies when appropriate. The prescribing physician and/or
referral source is notified within five days if the equipment or services ordered cannot be
- Standard DRX5-15D: Written policies and procedures are established and
implemented that describe the process for transfer or discharge of a client/patient receiving
services.
- Standard DRX6-1A: The organization develops, implements, and maintains an
effective, ongoing, organization-wide Performance Improvement (PI) program. The organization
measures, analyzes, and tracks quality indicators that enable the organization to assess processes
of care, services and operations. Organization-wide Performance Improvement (PI) efforts address
priorities for improved quality of care/service, client/patient safety, and that all improvement
actions are evaluated for effectiveness.
- Standard DRX6-1B: The organization ensures the implementation of an
organization-wide Performance Improvement (PI) plan by the designation of a person responsible for
coordinating PI activities.
- Standard DRX6-1C: There is evidence of personnel involvement in the
Performance Improvement (PI) process.
- Standard DRX6-1D: There is an annual Performance Improvement (PI) report
written.
- Standard DRX6-2A: Each performance improvement (PI) activity or study contains
the required items.
- Standard DRX6-3C: Performance Improvement (PI) activities include satisfaction
surveys.
- Standard DRX6-3D: Performance Improvement (PI) activities include a review of
the client/patient records.
- Standard DRX6-3E: Performance Improvement (PI) activities include the ongoing
monitoring of client/patient grievances/ complaints.
- Standard DRX6-3F: Written policies and procedures are established and
implemented by the organization to identify, monitor, report, investigate, and document all adverse
events, incidents, accidents, variances, or unusual occurrences that involve client/patient
care/service.
- Standard DRX6-3G: Performance Improvement (PI) activities include ongoing
monitoring of billing and coding errors.
- Standard DRX6-3I: The organization monitors all care/service provided under
contract/agreement to ensure that care/services are delivered in accordance with the terms of the
contract/agreement.
- Standard DRX6-6A: There is evidence of involvement of the governing
body/owner.
- Standard DRX7-1A: Written policies and procedures are established and
implemented that address the surveillance, identification, prevention, control, and investigation of
infectious and communicable diseases and the compliance with regulatory standards.
- Standard DRX7-2A: Written policies and procedures are established and
implemented that address the education of personnel concerning safety.
- Standard DRX7-2B: Written policies and procedures are established and
implemented that address client/patient safety in the home.
- Standard DRX7-4A: Written policies and procedures are established and
implemented that outline the process for meeting client/patient needs in a disaster or crisis
situation.
- Standard DRX7-4C: The organization provides education to
client/patient/caregiver regarding emergency preparedness.
- Standard DRX7-5B: Written policies and procedures are established and
implemented that address the organization’s fire safety and emergency power systems.
- Standard DRX7-6A: Written policies and procedures are established and
implemented for the acceptance, transportation, pickup, and/or disposal of hazardous chemicals
and/or contaminated materials used in the provision of client/patient care/ service.
- Standard DRX7-6B: Written policies and procedures are established and
implemented for following Occupational Safety and Health Administration’s (OSHA’s) Hazard
Communication Standard that describes appropriate labeling of hazardous chemicals and/or materials,
instructions for use, and storage and disposal requirements.
- Standard DRX7-10B: Nutritional products are stored in accordance with the
manufacturer’s guidelines.
- Standard DRX7-11A: Written policies and procedures are established and
implemented for identifying, monitoring, reporting, investigating, and documenting all incidents,
accidents, variances, or unusual occurrences involving personnel.
- Standard DRX7-12C: Written policies and procedures are established for the
provision of products and equipment for Clinical Respiratory Care Services (CRCS), Home Medical
Equipment (HME) and Complex Rehabilitation and Assistive Technology (RTS) services.
- Standard DRX7-12D: Personnel implement the organization’s policies and
procedures for the cleaning, storage, safe transportation, delivery, and setup of equipment used in
the provision of care/service. Implementation includes a home environmental and electrical safety
assessment.
- Standard DRX7-12E: Personnel implement the organization’s policies and
procedures relating to back-up equipment for use during power failures in the client/patient home.
- Standard DRX7-13A: Written policies and procedures are established and
implemented for organizations that trans fill oxygen
- Standard DRX7-16A: A written warranty is provided on all applicable products.